Author, as appears in the article.: Martín CA; Gonçalves AQ; López-Pablo C; Fernández-Sáez J; Drago EF; Rojas ZH; Vilaubí JMP; Cumplido DR; Piñol JL; Bladé-Creixenti J; Llorca MRD
Department: Infermeria
URV's Author/s: Lopez Pablo, Carlos
Keywords: Primary health care Mortality Incidence Feedback Clinical governance Clinical audit Cardiovascular diseases mortality incidence feedback clinical governance clinical audit cardiovascular diseases
Abstract: © 2019 by the authors. protective effect of having a cardiovascular event (hazard ratio (HR) = 0.64, 95% confidence interval (CI) = 0.44–0.94) or death (HR = 0.55, 95% CI = 0.35–0.88) was observed in patients from centres where general practitioners received high frequency feedback. Additionally, these PCCs presented improved cardiovascular health indicators and lower incidence and mortality by CVD, illustrating the impact of this intervention.Current improvement strategies for the control of cardiovascular risk factors (CRFs) in Europe are based on quality management policies. With the aim of understanding the effect of interventions delivered by primary healthcare systems, we evaluated the impact of clinical governance on cardiovascular health after ten years of implementation in Catalonia. A cohort study that included 1878 patients was conducted in 19 primary care centres (PCCs). Audits that comprised 13 cardiovascular health indicators were performed and general practitioners received periodic (annual, biannual or monthly) feedback about their clinical practice. We evaluated improvement in screening, diagnosis and control of the main CRFs and the effects of the feedback on cardiovascular risk (CR), incidence of cardiovascular disease (CVD) and mortality, comparing baseline data with data at the end of the study (after a 10-year follow-up). The impact of the intervention was assessed globally and with respect to feedback frequency. General improvement was observed in screening, percentage of diagnoses and control of CRFs. At the end of the study, few clinically significant differences in CRFs were observed between groups. However, the reduction in CR was greater in the group receiving high frequency feedback, specifically in relation to smoking and control of diabetes and cholesterol (Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL)). A.
Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 16604601
Author's mail: carlos.lopez@urv.cat
Author identifier: 0000-0003-1248-3065
Record's date: 2023-07-31
Papper version: info:eu-repo/semantics/publishedVersion
Papper original source: International Journal Of Environmental Research And Public Health. 16 (21):
APA: Martín CA; Gonçalves AQ; López-Pablo C; Fernández-Sáez J; Drago EF; Rojas ZH; Vilaubí JMP; Cumplido DR; Piñol JL; Bladé-Creixenti J; Llorca MRD (2019). Ten-year follow-up of clinical governance implementation in primary care: Improving screening, diagnosis and control of cardiovascular risk factors. International Journal Of Environmental Research And Public Health, 16(21), -. DOI: 10.3390/ijerph16214299
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili
Journal publication year: 2019
Publication Type: Journal Publications
Repositori URV